<%= error_messages_for 'resident' %>

<!--[form:resident]-->
<p><label for="resident_first_contact">First contact</label><br/>
<%= date_select 'resident', 'first_contact'  %></p>

<p><label for="resident_school">School</label><br/>
<%= text_field 'resident', 'school'  %></p>

<p><label for="resident_name">Name</label><br/>
<%= text_field 'resident', 'name'  %></p>

<p><label for="resident_parent_name">Parent name</label><br/>
<%= text_field 'resident', 'parent_name'  %></p>

<p><label for="resident_case_manager">Case manager</label><br/>
<%= text_field 'resident', 'case_manager'  %></p>

<p><label for="resident_victimization_type">Victimization type</label><br/>
<%= text_field 'resident', 'victimization_type'  %></p>

<p><label for="resident_primary_crime">Primary crime</label><br/>
<%= text_field 'resident', 'primary_crime'  %></p>

<p><label for="resident_all_crimes_involved">All crimes involved</label><br/>
<%= text_field 'resident', 'all_crimes_involved'  %></p>

<p><label for="resident_is_parent?">Is parent?</label><br/>
<select id="resident_is_parent?" name="resident[is_parent?]"><option value="false">False</option><option value="true">True</option></select></p>

<p><label for="resident_met_with_cm?">Met with cm?</label><br/>
<select id="resident_met_with_cm?" name="resident[met_with_cm?]"><option value="false">False</option><option value="true">True</option></select></p>

<p><label for="resident_number_of_children">Number of children</label><br/>
<%= text_field 'resident', 'number_of_children'  %></p>

<p><label for="resident_children_names">Children names</label><br/>
<%= text_field 'resident', 'children_names'  %></p>

<p><label for="resident_followup_provided?">Followup provided?</label><br/>
<select id="resident_followup_provided?" name="resident[followup_provided?]"><option value="false">False</option><option value="true">True</option></select></p>

<p><label for="resident_birthday">Birthday</label><br/>
<%= date_select 'resident', 'birthday'  %></p>

<p><label for="resident_gender">Gender</label><br/>
<%= text_field 'resident', 'gender'  %></p>

<p><label for="resident_ethnic_group">Ethnic group</label><br/>
<%= text_field 'resident', 'ethnic_group'  %></p>

<p><label for="resident_relationship_to_perp">Relationship to perp</label><br/>
<%= text_field 'resident', 'relationship_to_perp'  %></p>

<p><label for="resident_underserved_population">Underserved population</label><br/>
<%= text_field 'resident', 'underserved_population'  %></p>

<p><label for="resident_city">City</label><br/>
<%= text_field 'resident', 'city'  %></p>

<p><label for="resident_zip_code">Zip code</label><br/>
<%= text_field 'resident', 'zip_code'  %></p>

<p><label for="resident_language">Language</label><br/>
<%= text_field 'resident', 'language'  %></p>

<p><label for="resident_financial_status">Financial status</label><br/>
<%= text_field 'resident', 'financial_status'  %></p>

<p><label for="resident_has_transportation">Has transportation</label><br/>
<select id="resident_has_transportation" name="resident[has_transportation]"><option value="false">False</option><option value="true">True</option></select></p>

<p><label for="resident_medications">Medications</label><br/>
<%= text_area 'resident', 'medications'  %></p>

<p><label for="resident_injuries">Injuries</label><br/>
<%= text_area 'resident', 'injuries'  %></p>

<p><label for="resident_special_accomodations">Special accomodations</label><br/>
<%= text_area 'resident', 'special_accomodations'  %></p>

<p><label for="resident_created_on">Created on</label><br/>
<%= datetime_select 'resident', 'created_on'  %></p>

<p><label for="resident_updated_at">Updated at</label><br/>
<%= datetime_select 'resident', 'updated_at'  %></p>
<!--[eoform:resident]-->

